Organization
CT OHIO JAMESTOWN LLC
Active
Other names
Jamestown Place Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A MOERMAN (MANAGER)
(516) 865-1500
Entity
Organization
Contact information
Practice address
4960 OLD US ROUTE 35 E, JAMESTOWN, OH 45335-1712
(937) 675-3311
(937) 675-2333
Mailing address
4960 US HIGHWAY 35 E, JAMESTOWN, OH 45335-1712
(937) 675-3311
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141351
—
OH
Enumeration date
04/19/2018
Last updated
04/15/2025
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